Document Detail

Postural orthostatic tachycardia syndrome following Lyme disease.
MedLine Citation:
PMID:  21305487     Owner:  NLM     Status:  In-Data-Review    
Background: A subgroup of patients suffering from Lyme disease (LD) may initially respond to antibiotics only to later develop a syndrome of fatigue, joint pain and cognitive dysfunction referred to as 'post treatment LD syndrome'. We report on a series of patients who developed autonomic dysfunction in the form of postural orthostatic tachycardia syndrome (POTS). Methods: All of the patients in this report had suffered from LD in the past and were successfully treated with antibiotics. All patients were apparently well, until years later when they presented with fatigue, cognitive dysfunction and orthostatic intolerance. These patients were diagnosed with POTS on the basis of clinical features and results of the tilt table (HUTT) testing. Results: Five patients (all women), aged 22-44 years, were identified for inclusion in this study. These patients developed symptoms of fatigue, cognitive dysfunction, orthostatic palpitations and either near syncope or frank syncope. The debilitating nature of these symptoms had resulted in lost of the employment or inability to attend school. Three patients were also suffering from migraine, two from anxiety and depression and one from hypertension. All patients demonstrated a good response to the employed treatment. Four of the five were able to engage in their activities of daily living and either resumed employment or returned to school. Conclusions: In an appropriate clinical setting, evaluation for POTS in patients suffering from post LD syndrome may lead to early recognition and treatment, with subsequent improvement in symptoms of orthostatic intolerance. (Cardiol J 2011; 18, 1: 63-66).
Khalil Kanjwal; Beverly Karabin; Yousuf Kanjwal; Blair P Grubb
Related Documents :
21366647 - Factors associated with compliance to thiazide diuretics among 8551 chinese patients.
25303507 - Efficiency and patient satisfaction with the isolite system versus rubber dam for seala...
21440977 - Rapid sequence induction of anaesthesia in elderly patients in the emergency department.
21365217 - Effectiveness of immunoglobulin replacement therapy on clinical outcome in patients wit...
22294237 - Management of newly diagnosed patients with type 2 diabetes: what are the attitudes of ...
21991497 - Immunomodulators and immunosuppressants for japanese patients with ulcerative colitis.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Cardiology journal     Volume:  18     ISSN:  1897-5593     ISO Abbreviation:  Cardiol J     Publication Date:  2011  
Date Detail:
Created Date:  2011-02-09     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101392712     Medline TA:  Cardiol J     Country:  Poland    
Other Details:
Languages:  eng     Pagination:  63-6     Citation Subset:  IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Plasma homocysteine and the severity of heart failure in patients with previous myocardial infarctio...
Next Document:  Cardiovascular causes of death in an east African country: An autopsy study.